ICD-10 Education Strategies166.78.170.144/sites/default/files/ICD-10 Education Strategies.pdf ·...
Transcript of ICD-10 Education Strategies166.78.170.144/sites/default/files/ICD-10 Education Strategies.pdf ·...
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ICD-10 Education Strategies
Presented by
Stacey Chevious, BA, AHI, CPC, CDIP AHIMA Approved ICD-10-CM/PCS
Trainer and Ambassador
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Educational Challenges
Why Educate on ICD-10?
Who should receive ICD-10 education?
What should the ICD-10 education include?
What is the timeframe for the ICD-10 education?
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ICD-9-CM
Say “auf wiedersehen” to ICD-9-CM
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Why Educate on ICD-10?
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Objectives
• To gain a better understanding of the new ICD-10-CM and PCS coding format and structure o Currently, ICD-9-CM contains 3-5
alphanumeric characters lacking in detail and specificity
o ICD-10-CM contains 3-7 alphanumeric characters with more specificity and combination codes
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Objectives (cont.)
o ICD-10-PCS contains 3-7 alphanumeric characters with up to 34 possible values. Each value represents a specific value or option for
the character definition (e.g. gallbladder is a value for a body part or anatomic site)
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• To gain a better understanding of the new ICD-10-CM/PCS character meanings and coding guidelines to ensure coding accuracy o E.g., Device (sixth character) and qualifier
(seventh character) are not applicable to all procedures
o The Root Operation is based on the objective of the procedure (e.g., colonoscopy= inspection)
Purpose
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• To allow evaluation and assessment of areas where documentation specificity will be required as part of the ICD-10 transition
• To make better decisions regarding budget, personnel, productivity and improvement of current processes involving diagnosis and procedure codes
• To allow IT to plan and create necessary tables to support ICD-9-CM codes and crosswalk to ICD-10-CM/PCS format
Purpose (cont.)
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“The procedure codes in the general anatomical regions body systems should only be used when the procedure is performed on an anatomical region rather than a specific body part (e.g., root operations Control and Detachment, Drainage of a body cavity) or on the rare occasion when no information is available to support assignment of a code to a specific body part. Control of postoperative hemorrhage is coded to the root operation Control found in the general anatomical regions body systems.” ICD10-PCS Guidelines 2013, B2.1a
ICD-10-PCS Coding Guidelines
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According to the CMS quality metrics, “acute myocardial infarction” is defined in ICD-10 with a duration of four weeks as compared to eight weeks in ICD-9. The definition of “subsequent” in ICD-9 refers to a subsequent episode of care where in ID-10 the term “subsequent” refers to subsequent myocardial infarction.”
ICD-10-PCS Coding Guidelines
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• Develop a training plan that includes: • Training formats should be area and
concentration specific (e.g., coders-high level)
• Evaluate training sources: o Classroom o Distance education o Webinars
Training Plan
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• Education prior to the ICD-10 transition should be: o Intense o Appropriate o Comprehensive
Training Plan (cont.)
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Who should receive ICD-10 Training?
Everyone…
Training
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Training (cont.)
• Physicians will need education o ICD-10-CM and PCS o Clinical documentation improvement training
• Coders will need high level education o Refresher courses in anatomy & physiology
and medical terminology o Specialty coders will need training in his/her
respective specialty scope
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Training (cont.)
• Administration o Budgeting for education o Preparing for reductions in productivity o Impact on reimbursement from ICD-10
transition o Plan for delays in reimbursement o Rejected claims
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What should the ICD-10 Education Include?
ICD-10 Education
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Physician Training
• Understanding of the differences between ICD-9-CM and ICD-10 and rationale for adoption
• Specialty ICD-10-CM/PCS educational sessions
• Clinical documentation requirements o Severity, comorbid conditions, manifestations,
sequelae… • Importance of queries and
impact on facility revenue
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Physician Training (cont.)
• EMR and EHR crosswalk of ICD-9-CM codes to ICD-10-CM/PCS codes
• Software updates and versions of current systems
• Payer rules and guidelines for pre-certs, referrals, hospital admissions v. observations
• How ICD-10 affects business processes and hospital revenue
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• ICD-10-CM and PCS structure o Root Operations and meanings
• Anatomy and Physiology • Medical Terminology • Specialty coder training area specific • Clinical documentation requirements
o Templates and forms o Encoder/grouper tools
• Access staff for proficiency issues
Coders and Transcriptionists (HIM Staff)
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• EHR Templates and other clinical documentation interfaces
• Changes related to o Nursing care plans o Order entry o Identifying pre-existing conditions on
admission
Clinical Staff
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• Medical necessity and documentation guidelines for admissions v. observations, discharge planning, home health, hospice…
• DRG Grouper Updates
Clinical Staff (cont.)
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• Encounter transactions • Changes in medical terminology • Diagnosis codes and medical necessity
related to planned inpatient procedures • Insurance eligibility and verification
operations • Getting signed ABNs
whenever appropriate • Software updates
Ancillary Staff
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• Risk management o Creating action plans with timelines to
minimize risks pre/post transition • Data Storage
o Transfer of data files from ICD-9-CM format to ICD-10-CM/PCS
o Storage capabilities to maintain both ICD-9 and ICD-10 data
o Create operations for users to access information in both ICD-9 and ICD-10
Information Technology (IT)
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• Crosswalk o Accurate translation of codes from ICD-9 to
ICD-10 and vice versa o Incorporating data searches for specific
diseases and conditions • Updates
o File specifications o Data dictionaries o Input and output data rules
and capabilities information in both ICD-9 and ICD-10
Information Technology (IT) (cont.)
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• Encoder and grouper updates • Plan for anticipation of increase in denials
and adjudication rules • Initial billing/re-billing rules • Payment appeal guidelines and processes • Payment methodology changes (including
bundling payments, APCs) • Payment reconciliation
Revenue Cycle
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• Survey your facility to identify educational needs
• Create an education plan that is o Appropriate o Comprehensive o Environmentally friendly
• Perform competency evaluations o Create a plan for remediation and additional
training (if needed) o Encourage certification of staff o Recognize staff accomplishments
Education Recap
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• Be positive about the transition to ICD-10
“Attitude is a little thing that makes a big difference.” Winston Churchill
Education Recap (cont.)
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What is the timeframe for ICD-10 Education?
Timeline
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• CMS recommends that “appropriate staff should complete comprehensive ICD-10 education not more than six to nine months before the compliance date of October 1, 2014”
Timeline
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Join the Conversation
facebook.com/trubridgeservices @trubridgesvc Keyword TruBridge
www.trubridge.net
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Questions
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AAPC CEU
CEU Code: 31534HCR
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Thank you for your time.
Please contact TruBridge with any questions or for more
information
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• AAPC.com • AHIMA.org • Belley, S (2012). 3M ICD-10 Education Program.
Retrieved from http://multimedia.3m.com/mws/mediawebserver?mwsId=SSSSSufSevTsZxtUoxme4Y_UevUqevTSevTSevTSeSSSSSS--&fn=cs_educ_program_fs.pdf
• http://www.cms.gov/Medicare/Coding/ICD10/downloads/ICD10FAQs.pdf
• ICD-10-PCS Coding Guidelines. Retrieved from http://www.cms.gov/Medicare/Coding/ICD10/Downloads/pcs_2013_guidelines.pdf
References